Dr Kelly Alissa Green, PHARMD, PA-C is a medicare enrolled "Physician Assistant" provider in Tucson, Arizona. Her current practice location is
1295 N. Martin Room B308, Tucson, Arizona. You can reach out to her office (for appointments etc.) via phone at
(520) 626-6016.
Dr Kelly Alissa Green is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1871581595.
Healthcare Provider's Profile
Full Name | Dr Kelly Alissa Green |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 1295 N. Martin Room B308, Tucson, Arizona |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1871581595
- Provider Enumeration Date: 10/06/2005
- Last Update Date: 12/27/2022
Medicare PECOS Information:
- PECOS PAC ID: 1052725702
- Enrollment ID: I20211206000354
Medical Identifiers
Medical identifiers for Dr Kelly Alissa Green such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871581595 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1835P1200X | Pharmacist - Pharmacotherapy | 12514 (Arizona) | Secondary |
363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kelly Alissa Green is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Kelly Alissa Green, PHARMD, PA-C 1295 N. Martin Room B308, Tucson, AZ 85712 Ph: (520) 626-6016 | Dr Kelly Alissa Green, PHARMD, PA-C 1295 N. Martin Room B308, Tucson, AZ 85712 Ph: (520) 626-6016 |
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